Álvaro García-Pérez1,2, Socorro Aída Borges-Yáñez3, Aida Jiménez-Corona2,4,5, María Eugenia Jiménez-Corona1,4, Samuel Ponce-de-León1,6. 1. Laboratorios de Biológicos y Reactivos de México, S.A. de C.V., BIRMEX, México D.F, México. 2. Departamento de Epidemiologia Ocular, Instituto de Oftalmología Conde de Valenciana, IAP, México D. F, México. 3. División de Estudios de Posgrado e Investigación, Facultad de Odontología, Universidad Nacional Autónoma de México, México D. F, México. 4. Dirección General Adjunta de Epidemiología, Secretaría de Salud, México D. F, México. 5. Unidad de Diabetes y Riesgo Cardiovascular, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México. 6. División de Investigación, Facultad de Medicina, Universidad Nacional Autónoma de México, México D. F, México.
Abstract
OBJECTIVE: To estimate the prevalence of self-reported gingival and periodontal conditions and their association with smoking, oral hygiene, indigenous origin, diabetes and location (urban or rural) in indigenous and non-indigenous adults in Chiapas, Mexico. METHODS: A cross-sectional study of 1,749 persons, ≥20 years of age, living in four rural and four urban marginal localities in Comitán (Chiapas, México). The variables investigated were: age; sex; indigenous origin; oral hygiene; halitosis; chewing ability; gingival conditions; periodontitis; smoking; alcoholism; diabetes; and location. Bivariate analysis and a logistic regression model were used to identify the association of periodontitis with the independent variables. RESULTS: In total, 762 (43.6%) indigenous and 987 (56.4%) non-indigenous persons were interviewed. Their mean age was 41 ± 14 years, 66.7% were women and 43.8% lived in rural locations. Gingival problems were reported by 68.5% and periodontitis by 8.7%. In total, 17.9% had used dental services during the previous year, 28.7% wore a removable partial or a complete dental prosthesis, 63.7% had lost at least one tooth, the prevalence of diabetes was 9.2% and the prevalence of smoking was 12.2%. The logistic regression model showed that age, diabetes and the interaction between rural location and indigenous origin were associated with the presence of periodontitis. CONCLUSIONS: Indigenous people living in rural areas are more likely to have periodontitis. It is necessary to promote oral health practices in indigenous and marginalised populations with a focus on community-oriented primary care.
OBJECTIVE: To estimate the prevalence of self-reported gingival and periodontal conditions and their association with smoking, oral hygiene, indigenous origin, diabetes and location (urban or rural) in indigenous and non-indigenous adults in Chiapas, Mexico. METHODS: A cross-sectional study of 1,749 persons, ≥20 years of age, living in four rural and four urban marginal localities in Comitán (Chiapas, México). The variables investigated were: age; sex; indigenous origin; oral hygiene; halitosis; chewing ability; gingival conditions; periodontitis; smoking; alcoholism; diabetes; and location. Bivariate analysis and a logistic regression model were used to identify the association of periodontitis with the independent variables. RESULTS: In total, 762 (43.6%) indigenous and 987 (56.4%) non-indigenous persons were interviewed. Their mean age was 41 ± 14 years, 66.7% were women and 43.8% lived in rural locations. Gingival problems were reported by 68.5% and periodontitis by 8.7%. In total, 17.9% had used dental services during the previous year, 28.7% wore a removable partial or a complete dental prosthesis, 63.7% had lost at least one tooth, the prevalence of diabetes was 9.2% and the prevalence of smoking was 12.2%. The logistic regression model showed that age, diabetes and the interaction between rural location and indigenous origin were associated with the presence of periodontitis. CONCLUSIONS: Indigenous people living in rural areas are more likely to have periodontitis. It is necessary to promote oral health practices in indigenous and marginalised populations with a focus on community-oriented primary care.
Authors: Renata Magalhães Cyrino; Luís Otávio Miranda Cota; Eugênio José Pereira Lages; Elizabeth Maria Bastos Lages; Fernando Oliveira Costa Journal: J Periodontol Date: 2011-05-12 Impact factor: 6.993
Authors: R G Nelson; M Shlossman; L M Budding; D J Pettitt; M F Saad; R J Genco; W C Knowler Journal: Diabetes Care Date: 1990-08 Impact factor: 19.112
Authors: Carlo Eduardo Medina-Solís; Leticia Ávila-Burgos; María de Lourdes Márquez-Corona; June Janette Medina-Solís; Salvador Eduardo Lucas-Rincón; Socorro Aida Borges-Yañez; Miguel Ángel Fernández-Barrera; América Patricia Pontigo-Loyola; Gerardo Maupomé Journal: Int J Environ Res Public Health Date: 2019-06-05 Impact factor: 3.390